Medicare.gov: the official U.S. government site for Medicare

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The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

How to Find Primary Health Care Provider Information

Compare Hospitals: Compare the quality of care that hospitals deliver. You can see a list of U.S. hospitals that includes hospital demographics (location, hospital type) and 44 quality-of-care measures. You can also find data on some Department of Veterans Affairs medical centers.
Source: healthcare.gov

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

National Provider Identifier Standard (NPI)

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The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
Source: cms.gov

Difference between the Medicare Provider Numbers

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Enroll in a Medicare Plan

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Source: medicare.gov

Medicare Advantage Plans in Michigan

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Medicare Advantage plans are a lot like the health insurance you may have had before becoming eligible for Medicare. You can choose a complete insurance package with the convenience of one ID card for all services.
Source: bcbsm.com

Blue Medicare PPO and Blue Medicare HMO Providers

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

What’s Medicare Supplement Insurance (Medigap)?

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Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Medicare Supplement Options

* Network restrictions apply. ** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.
Source: bcbstx.com

Medicare Supplement Insurance

Original Medicare can be difficult to understand at best and Medicare Supplement insurance plans can be a daunting task! We are here to help! You may be asking yourself, when is the best time to buy a Medicare Supplement insurance policy? The best time to purchase a policy is during “open enrollment”, open enrollment is six months prior to your 65th birthday and lasts 6 months from the first day of the month in which you turned 65. This enrollment is extended for those who enrolled in Medicare Part B after the age of 65. During this open enrollment period insurance companies cannot use medical underwriting to turn you down for insurance, make you wait for coverage, or charge you a higher premium. An insurance company also cannot use a pre-existing condition waiting period if you have a guaranteed issue right (also called Medigap protection). For people that are past their open enrollment period you can enroll or change Medicare Supplements any time of the year.
Source: medicaresupplementtexas.com

Home Health Risk Adjustment of Outcome of Care Measures

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For OASIS-based quality measures, prediction models use patient case mix information taken from OASIS-C SOC/ROC assessments to establish a relationship between these characteristics and the likelihood of a quality outcome. Each improvement and utilization outcome has its own unique prediction model. Virtually every item on OASIS-C, with the exception of a few demographic/patient tracking items and clinical record items, are potential risk factors that can be used to create this prediction equation.
Source: medicare.gov

What is a “Medicare Risk Adjustment Factor (RAF)?”

The purpose for the Centers for Medicare and Medicaid Services (CMS) to conduct Risk Adjustment Factors is to pay plans for the risk of the beneficiaries they enroll, instead of calculating an average amount of Medicare/Medicare Advantage beneficiaries.  By doing so, CMS is able to make appropriate and accurate payments for enrollees with differences in expected costs. Lastly, the risk adjustment allows CMS to use standardized bids as base payments to plans.
Source: clinicservice.com

Medicare HCC Chart Review, RAPS Submission

HDVI provides a solution that answers this challenge: unrivalled accuracy in collection and coding, backed by performance guarantees. In addition, HDVI offers a whole set of coding and analytics options, which ensure that the results are exactly what our clients have been looking for. This may include coding diagnoses other than the ones supporting HCCs (anticipating chases in the model, using information for care management, etc.), smart and logic-driven member suspect identification data comparisons or the use of identified diagnoses as a baseline.
Source: healthdatavision.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

UniCare State Indemnity Plan

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Benefits Information Find a Doctor Check Your Claims Compare Your Costs Avoid Balance Billing Health and Wellness Health Care Quality Initiatives Member Discounts Notification Requirements Request Plan Materials Forms and Documents Contact Us Email Us
Source: unicarestateplan.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov